Melissa Cannon Lang in Marietta - Clinical Child & Adolescent
Melissa Cannon Lang - NPI 1578512273
Melissa Cannon Lang is a Clinical Child & Adolescent in Marietta, Georgia. Melissa Cannon Lang practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Melissa Cannon Lang is 1578512273. The last update date is 2007-07-08.
Melissa Cannon Lang's current location address is 54 South Ave Se, Marietta, Georgia. You can contact this provider via phone number 7703529952 and fax number 7709190145. The mailing address for Melissa Cannon Lang is 54 South Ave Se, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Cannon Lang |
|---|---|
| Address | 54 South Ave Se, Marietta, Georgia |
| Phone Number | 7703529952 |
| Fax Number | 7709190145 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1578512273 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 54 South Ave Se |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300602358 |
| Phone Number | 7703529952 |
| Fax Number | 7709190145 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2637 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identifier code assigned to Melissa Cannon Lang by the Centers for Medicare & Medicaid Services?
The Melissa Cannon Lang has been issued the NPI (National Provider Identifier) 1578512273 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Melissa Cannon Lang located?
The Melissa Cannon Lang is located at 54 South Ave Se, Marietta, GA 300602358.
What is the Melissa Cannon Lang's area of specialization and corresponding taxonomy classification?
The Melissa Cannon Lang's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1578512273 to Melissa Cannon Lang?
The Centers for Medicare & Medicaid Services assigned the 1578512273 to Melissa Cannon Lang on 2006-05-09.
As of what date were the details related to Melissa Cannon Lang most recently updated or revised?
The information pertaining to Melissa Cannon Lang, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.